LISA F DERKEN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095963

License Status

ACTIVE

Business

First Name

LISA F

Last Name

DERKEN

Business Name

LISA F DERKEN

Original Issue Date

07/07/1997

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

06/06/2023